Bayonet Point Cardiac Surgical Associates
Organization Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Hudson, FL
NPI 1659498558 · NPPES record last updated May 27, 2008
Key facts
- NPI
- 1659498558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- Legal business name
- BAYONET POINT CARDIAC SURGICAL ASSOCIATES
- Practice address
- 14100 Fivay Rd
Suite 300
Hudson, FL 34667-7180 - Phone
- (727) 869-7497
- Fax
- (727) 869-7156
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Marshall M Desantis, MD
- Title
- Owner
- Phone
- (727) 869-7497
Practitioners 1
-
Raymond S Waters, MD
National Provider Directory
Locations
14100 Fivay Rd
Ste 300
Hudson, FL 34667
Phone (727) 372-4417
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician |
2086S0129X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | Yes |
Addresses
Primary practice location
14100 Fivay Rd
Suite 300
Hudson, FL 34667-7180
Mailing address
14100 Fivay Rd
Suite 300
Hudson, FL 34667-7180
Phone (727) 869-7497
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377058300 | Medicaid | FL |
Other providers in Hudson, FL
- Emma Mendoza Basco
- Dawnlee Basile-Wood
- Kevin Bass
- Dianne Yvonne Bayer
- Bayonet Opco, LLC
- Bayonet Point Facility Operations, LLC
- Bayonet Point Medical, LLC
- Bayonet Point Rehab LLC
- Bayonet Point Surgery Center LTD
- Bayonet Point/Hudson Cardiology Associates
All providers in Hudson, FL · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.